PMID- 38321630 OWN - NLM STAT- MEDLINE DCOM- 20240314 LR - 20240314 IS - 1939-165X (Electronic) IS - 0275-6382 (Linking) VI - 53 IP - 1 DP - 2024 Mar TI - Development of a reference interval for urinary ammonia-to-creatinine ratio in feline patients. PG - 136-140 LID - 10.1111/vcp.13327 [doi] AB - BACKGROUND: Disruption of acid-base homeostasis can lead to many clinical problems. Ammonia excretion by the kidneys is critical to maintaining acid-base homeostasis through bicarbonate production. Measurement of ammonia excretion may help determine if the kidneys are properly functioning in maintaining acid-base balance. Reference intervals are essential tools for clinical decision-making but do not currently exist for urinary ammonia-to-creatinine ratio (UACR) in feline patients. OBJECTIVE: This study aimed to generate a reference interval (RI) for UACR in healthy adult cats. METHODS: The study used samples from client-owned adult healthy cats that presented to the University of Florida Primary Care and Dentistry service (n = 92). Physical examination, serum biochemistry, urinalysis, urine ammonia, and creatinine concentrations were measured. Cats were excluded if there were significant abnormalities in their urinalysis or biochemistry panel. The RI for UACR was calculated according to the recommendation of the American Society for Veterinary Clinical Pathology. The UACR was evaluated for correlation with serum bicarbonate, weight, age, and sex. RESULTS: The RI for UACR was 3.4-20.7 with 90% confidence intervals for the lower and upper limits of (3.0-3.7) and (16.0-23.7), respectively. No significant correlation with age, sex, or weight was found. There was no discernable relationship between serum bicarbonate and UACR. CONCLUSIONS: Establishing an RI for UACR in healthy adult cats will allow further studies to determine if changes in UACR are observed during specific disease states. CI - (c) 2024 The Authors. Veterinary Clinical Pathology published by Wiley Periodicals LLC on behalf of American Society for Veterinary Clinical Pathology. FAU - Brown, Eleanor E AU - Brown EE AD - Department of Small Animal Clinical Science, University of Florida College of Veterinary Medicine, Gainesville, Florida, USA. FAU - Castro, Rebecca A AU - Castro RA AD - Department of Small Animal Clinical Science, University of Florida College of Veterinary Medicine, Gainesville, Florida, USA. FAU - Griffin, Francesca C AU - Griffin FC AD - Department of Small Animal Clinical Science, University of Florida College of Veterinary Medicine, Gainesville, Florida, USA. FAU - Mandese, Wendy W AU - Mandese WW AD - Department of Small Animal Clinical Science, University of Florida College of Veterinary Medicine, Gainesville, Florida, USA. FAU - Rooks, Jenna K AU - Rooks JK AD - Department of Small Animal Clinical Science, University of Florida College of Veterinary Medicine, Gainesville, Florida, USA. FAU - Stone, Amy E AU - Stone AE AD - Department of Small Animal Clinical Science, University of Florida College of Veterinary Medicine, Gainesville, Florida, USA. FAU - Wuerz, Julia A AU - Wuerz JA AD - Department of Small Animal Clinical Science, University of Florida College of Veterinary Medicine, Gainesville, Florida, USA. FAU - Cooke, Kirsten L AU - Cooke KL AD - Department of Small Animal Clinical Science, University of Florida College of Veterinary Medicine, Gainesville, Florida, USA. FAU - Specht, Andrew J AU - Specht AJ AD - Department of Small Animal Clinical Science, University of Florida College of Veterinary Medicine, Gainesville, Florida, USA. FAU - Harris, Autumn N AU - Harris AN AUID- ORCID: 0000-0002-2329-3905 AD - Department of Small Animal Clinical Science, University of Florida College of Veterinary Medicine, Gainesville, Florida, USA. AD - Division of Nephrology, Hypertension and Renal Transplantation, University of Florida College of Medicine, Gainesville, Florida, USA. LA - eng GR - University of Florida/ PT - Journal Article DEP - 20240206 PL - United States TA - Vet Clin Pathol JT - Veterinary clinical pathology JID - 9880575 RN - AYI8EX34EU (Creatinine) RN - 7664-41-7 (Ammonia) RN - 0 (Bicarbonates) SB - IM MH - Cats MH - Animals MH - Creatinine/urine MH - *Ammonia MH - Bicarbonates MH - Urinalysis/veterinary MH - Kidney MH - Albuminuria/urine/veterinary MH - *Cat Diseases OTO - NOTNLM OT - acid-base OT - assay OT - feline OT - kidney OT - renal physiology EDAT- 2024/02/07 06:43 MHDA- 2024/03/14 06:46 CRDT- 2024/02/07 00:23 PHST- 2023/11/01 00:00 [revised] PHST- 2023/08/15 00:00 [received] PHST- 2023/12/14 00:00 [accepted] PHST- 2024/03/14 06:46 [medline] PHST- 2024/02/07 06:43 [pubmed] PHST- 2024/02/07 00:23 [entrez] AID - 10.1111/vcp.13327 [doi] PST - ppublish SO - Vet Clin Pathol. 2024 Mar;53(1):136-140. doi: 10.1111/vcp.13327. Epub 2024 Feb 6.